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Published on: June 9, 2018
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Current concepts: pathology in the overhead athlete's lateral elbow
1Department of Orthopaedics, Vanderbilt University Medical Center, Nashville, TN, USA.
Journal of Shoulder and Elbow Surgery
|September 29, 2023
Summary
Repetitive valgus stress can injure the lateral elbow. Evaluating overhead mechanics and the kinetic chain, alongside core strength and balance, aids in diagnosing and treating lateral elbow injuries like osteochondritis dissecans.
Area of Science:
- Orthopedics
- Sports Medicine
- Biomechanics
Background:
- Repetitive valgus stress increases compressive forces on the lateral elbow.
- Deficiencies in overhead mechanics and kinetic chain function can predispose athletes to elbow injuries.
- Osteochondritis dissecans is a prevalent lateral elbow pathology.
Purpose of the Study:
- To outline the evaluation and treatment of lateral elbow injuries in athletes.
- To highlight the role of kinetic chain mechanics and core strength in elbow injury.
- To discuss preventative strategies for lateral elbow pathologies.
Main Methods:
- Focused physical examination of the elbow.
- Imaging studies for diagnosis.
- Screening of core strength, balance, and kinetic chain mechanics.
- Assessment of lesion stability for treatment decisions.
Main Results:
- Treatment for osteochondritis dissecans yields variable but often positive outcomes.
- Evaluation requires a comprehensive biomechanical assessment beyond the elbow joint.
- Identifying deficiencies in the kinetic chain is crucial for diagnosis.
Conclusions:
- Proper pitching mechanics, kinetic chain integrity, and workload management are key for preventing lateral elbow injuries.
- A holistic approach evaluating the entire kinetic chain is essential for managing and preventing elbow pathologies.
- Treatment outcomes for osteochondritis dissecans are influenced by lesion stability.
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